wow-inequalities/02-data/intermediate/wos_sample/4d5e24346e55f9f580369883931947f5-cavalieri-marina/info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'Background: Unmet health needs should be, in theory, a minor issue in
Italy where a publicly funded and universally accessible health system
exists. This, however, does not seem to be the case. Moreover, in the
last two decades responsibilities for health care have been
progressively decentralized to regional governments, which have
differently organized health service delivery within their territories.
Regional decision-making has affected the use of health care services,
further increasing the existing geographical disparities in the access
to care across the country. This study aims at comparing self-perceived
unmet needs across Italian regions and assessing how the reported
reasons - grouped into the categories of availability, accessibility and
acceptability - vary geographically.
Methods: Data from the 2006 Italian component of the European Union
Statistics on Income and Living Conditions are employed to explore
reasons and predictors of self-reported unmet medical needs among 45,175
Italian respondents aged 18 and over. Multivariate logistic regression
models are used to determine adjusted rates for overall unmet medical
needs and for each of the three categories of reasons.
Results: Results show that, overall, 6.9\% of the Italian population
stated having experienced at least one unmet medical need during the
last 12 months. The unadjusted rates vary markedly across regions, thus
resulting in a clear-cut north-south divide (4.6\% in the North-East vs.
10.6\% in the South). Among those reporting unmet medical needs, the
leading reason was problems of accessibility related to cost or
transportation (45.5\%), followed by acceptability (26.4\%) and
availability due to the presence of too long waiting lists (21.4\%). In
the South, more than one out of two individuals with an unmet need
refrained from seeing a physician due to economic reasons. In the
northern regions, working and family responsibilities contribute
relatively more to the underutilization of medical services. Logistic
regression results suggest that some population groups are more
vulnerable than others to experiencing unmet health needs and to
reporting some categories of reasons. Adjusting for the predictors
resulted in very few changes in the rank order of macro-area rates.
Conclusions: Policies to address unmet health care needs should adopt a
multidimensional approach and be tailored so as to consider such
geographical heterogeneities.'
affiliation: 'Cavalieri, M (Corresponding Author), Univ Catania, Dept Econ \& Business,
Corso Italia 55, I-95129 Catania, Italy.
Univ Catania, Dept Econ \& Business, I-95129 Catania, Italy.'
article-number: '27'
author: Cavalieri, Marina
author-email: mcavali@unict.it
author_list:
- family: Cavalieri
given: Marina
da: '2023-09-28'
doi: 10.1186/1476-072X-12-27
files: []
issn: 1476-072X
journal: INTERNATIONAL JOURNAL OF HEALTH GEOGRAPHICS
keywords: 'Italy; Unmet health care needs; Access to health care; Barriers to
health care; Decentralization'
keywords-plus: HEALTH-CARE-SYSTEM; SERVICES; ACCESS; USERS
language: English
month: MAY 12
number-of-cited-references: '29'
orcid-numbers: Cavalieri, Marina/0000-0002-2294-5588
papis_id: 0bb06556813888fa324e20e887d2173c
ref: Cavalieri2013geographicalvariatio
times-cited: '53'
title: 'Geographical variation of unmet medical needs in Italy: a multivariate logistic
regression analysis'
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000319429100001
usage-count-last-180-days: '0'
usage-count-since-2013: '10'
volume: '12'
web-of-science-categories: Public, Environmental \& Occupational Health
year: '2013'